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Two Pathways, One Team

The clinical case for disease-modifying treatment

For the first time, there is a class of therapy that may slow the progression of Alzheimer's at its source, not just manage symptoms. We offer two distinct pathways. Which is right for you is a clinical question, answered by your consultant.

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10,600+ Patients
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LaingBuisson Winner
Est. 2011
The Pathways

Two Routes to the Same Goal

Both therapies target amyloid plaques, the hallmark of Alzheimer's disease. They differ in dosing schedule, treatment duration, and how costs accrue. Your clinical profile determines which is appropriate.

The Light Pathway

Light

Fortnightly infusions over a 12-month course, with the option to continue beyond. A fixed, all-inclusive price, predictable from the outset.

Every 2 wks

Infusion frequency

Unlimited

Standard course

24

Infusions in 12 months

£49,000

12-month price

The Clarity Pathway

Clarity

Monthly infusions, up to 18 months maximum. Treatment stops when amyloid is cleared, confirmed by scan. Duration, and cost, are shaped by your response.

Monthly

Infusion frequency

Up to 18 months

Maximum course

Avg. 12

Typical infusions

£85,000

12-month cost

What the Trials Showed

Published Phase 3
Clinical Trial Data

Both therapies have been evaluated in large, randomised, placebo-controlled trials in people with early Alzheimer's disease. The data below is drawn from published trial results. These are population-level findings; individual outcomes will vary, and your consultant will discuss what the evidence means for your specific situation.

Light Pathway · Clinical Trial Data

27%

slowing of clinical decline vs placebo

Measured on the CDR-SB scale at 18 months in 1,795 participants with early Alzheimer's and confirmed amyloid pathology.


Trial duration18 months
Amyloid reductionSubstantial, ~75 to ~10 centiloids
Tau marker changeSignificant reduction vs placebo

Safety profile, ARIA rates

ARIA-E (swelling), any12.6%
ARIA-E, symptomatic2.8%
ARIA-H (microbleeds), any17.3%
ARIA-H, symptomatic0.7%

ARIA = amyloid-related imaging abnormalities. Most cases are asymptomatic and detected on routine monitoring MRI. Symptomatic cases are managed with a treatment pause.

Clarity Pathway · Clinical Trial Data

35%

slowing of clinical decline vs placebo (low/medium tau group)

Measured on the iADRS scale in 1,736 participants with early Alzheimer's. Results varied by tau burden, the low/medium tau subgroup showed 35% slowing; the overall population 22 to 29%.


Trial durationUp to 18 months
Amyloid clearance at 12 months~71% reached full clearance
Amyloid clearance at 18 months~84% reached full clearance

Safety profile, ARIA rates

ARIA-E (swelling), any24.0%
ARIA-E, symptomatic6.1%
ARIA-H (microbleeds), any31.4%
ARIA-H, symptomatic1.9%

ARIA = amyloid-related imaging abnormalities. Most cases are asymptomatic and detected on routine monitoring MRI. Symptomatic cases are managed with a treatment pause.

A note on comparing trial data. These trials used different primary outcome measures (CDR-SB vs iADRS), different participant populations, and different dosing protocols. The efficacy figures are not directly comparable, and should not be used to choose between pathways. Your consultant will interpret what this data means for your individual profile.

How the Decision is Made

What Your Consultant Will Assess

Pathway selection is a clinical decision, not a commercial one. Your consultant will assess a range of factors before recommending, or advising against, either pathway.

Amyloid burden

Confirmed by PET scan or CSF analysis. Higher amyloid burden may influence which therapy is clinically preferable.

Tau status

Tau biomarkers indicate disease stage. The Clarity Pathway trial showed stronger results in low and medium tau participants specifically.

APOE ε4 genotype

Carriers of one or two APOE ε4 alleles have higher ARIA risk on both therapies. Genotyping is mandatory before treatment starts.

Cardiovascular health

Prior microhaemorrhages, anticoagulant use, and vascular comorbidities affect eligibility and pathway risk profile.

Practical considerations

Infusion frequency, proximity to clinic, and carer availability are discussed, but do not override clinical factors in pathway selection.

Stage of diagnosis

Both pathways require early-stage MCI or mild Alzheimer's. The window for intervention narrows as disease progresses.

"The question is never which therapy sounds better; it's which therapy the patient's biology supports, and where we are in the disease timeline. Both are meaningful options; the data tells us which fits."

Consultant Neurologist, Re:Cognition Health
Pricing

Transparent Costs for Both Pathways

We publish our pricing in full. The Light Pathway is a fixed all-inclusive price. The Clarity Pathway cost depends on treatment duration; use the slider to explore the range.

Light Pathway

£49,000

Fixed · 12 months · all costs included

12-month pathway cost£49,000
Course length12 months
Total infusions24
Per infusion equivalent£2,042
Monthly equivalent£4,083

Covers all assessments, MRI scans, infusions, nursing, monitoring, and end-of-treatment review. The Light Pathway has no required end point; treatment can continue beyond 12 months with pricing on request.

Clarity Pathway

£85,000

Estimated total · based on duration below · all costs included

12 months
Estimated total£85,000
Course length12 months
Infusions12
Per infusion£7,083
Monthly equivalent£7,083

Duration is clinically determined. Treatment stops when amyloid clearance is confirmed on MRI, or at 18 months at the latest.

Per-infusion costs are not directly comparable. The pathways use different dosing frequencies and protocols. The monthly equivalent (£4,083 vs £7,083) is a more meaningful comparison of ongoing treatment intensity. Payment plans and medical finance options are available; speak to our patient navigation team.

Book Your Eligibility Assessment

One consultation covers both pathways
Common Questions

Everything You Need to Know

No GP referral is required. You can book an eligibility assessment directly with us. Simply complete the form above or call our team and we'll guide you through the process.
Pathway selection is a clinical decision made by your consultant neurologist after reviewing your diagnosis, biomarkers, APOE genotype, tau status, cardiovascular health, and stage of diagnosis. It is never based on cost or scheduling preference. A single eligibility assessment covers both pathways.
ARIA stands for amyloid-related imaging abnormalities. It refers to changes (small areas of swelling or microbleeds) visible on MRI in some patients receiving anti-amyloid therapies. The majority of ARIA cases are asymptomatic and only detected on routine monitoring scans. Symptomatic cases are managed with a treatment pause. Both pathways include regular monitoring MRI throughout treatment.
If your consultant determines that neither pathway is appropriate, they will explain why and discuss other options available to you. This may include continued monitoring, symptomatic treatments, lifestyle interventions, or referral to clinical trials. The eligibility assessment is valuable on its own as a thorough clinical review of your cognitive health.
Yes. Payment plans and medical finance options are available for both pathways. Our patient navigation team will discuss the options with you in detail once a pathway has been recommended.
Infusions are administered at Re:Cognition Health clinics by trained nursing staff under consultant oversight. MRI monitoring scans are arranged through partner imaging centres at locations convenient to you. Our care team handles all scheduling.
Both pathways are for adults with a confirmed diagnosis of early-stage Mild Cognitive Impairment (MCI) or mild Alzheimer's disease, with amyloid pathology confirmed by PET scan or CSF analysis. The window for disease-modifying treatment narrows as disease progresses, so early action is important.
Take the First Step

The Conversation Starts with
Your Eligibility Assessment

A single consultation with a Re:Cognition Health neurologist covers both pathways. They will review your diagnosis, biomarkers, and medical history, and advise which pathway, if either, is appropriate for you.